Acta Scientific Nutritional Health (ASNH)(ISSN: 2582-1423)

Research Article Volume 6 Issue 3

Oral Care, Oral Health and Associated Nutrition Related Problems in Icelandic Nursing Home Residents

Sigurdardottir AS1*, Geirsdottir OG2, Ramel A2 and Arnadottir IB1

1Faculty of Odontology, University of Iceland, Reykjavík, Iceland 
2Faculty of Food Science and Nutrition, University of Iceland, Reykjavik, Iceland

*Corresponding Author: Sigurdardottir AS, Faculty of Odontology, University of Iceland, Reykjavík, Iceland.

Received: January 24, 2022; Published: February 14, 2022

Abstract

Background and aims: Old adults in nursing homes have often poor oral health and malnutrition. The aim of this study was to investigate the associations between oral health and nutrition related problems in Icelandic nursing home residents.

Methods: This cross-sectional study included older adults (> 67 years, N = 82) from two nursing homes from the Reykjavik capital area, Iceland. Two dentists performed a clinical examination using the Oral Health Survey form and a clinical dentist collected further data. Information on nutrition related problems (possible range from 0 to 8) were retrieved from the Oral Health Impact Profile.

Results: The mean decayed, missed and filled teeth (DMFT) index was around 26, however, still 42% of participants rated their oral health as good. Two thirds of the participants were in need of dental therapy and a similar proportion of participants had the last dentist's visit > 1 year ago. More than 40% had complete dentures and the number of nutrition related problems was 4.8 ± 2.5.

According to age and sex adjusted analysis, poor DMFT was significantly related to difficulties to chew, avoiding certain foods, stop eating food and to not being able to eat, however, not to changes in taste perception. Having complete dentures was very similarly associated with these nutrition related problems. Length of residence was related to changes in taste perception and difficulties to chew, however no significant relations could be seen between need for dental therapy, last dentist's visit and nutrition related problems.

Conclusion: In Icelandic nursing home residents oral health is poor and there is a great need for improved oral care. The frequency of nutrition related problems related to malnutrition is high and poor oral health is significantly associated with these problems as it is length of residence.

Keywords: Oral Health; Malnutrition; Old Adults

References

  1. Wong FMF., et al. “Oral Health and Its Associated Factors Among Older Institutionalized Residents-A Systematic Review”. International Journal of Environmental Research and Public Health 16 (2019): 4132.
  2. Kohli R., et al. “Oral health needs, dental care utilization, and quality of life perceptions among Oregonian seniors”. Special Care Dentist 37 (2017): 85-92.
  3. Gil-Montoya JA., et al. “Oral health in the elderly patient and its impact on general well-being: a nonsystematic review”. Clinical Interventions in Aging 10 (2015): 461-467.
  4. Kshetrimayum N., et al. “Oral health-related quality of life and nutritional status of institutionalized elderly population aged 60 years and above in Mysore city, India”. Gerodontology 30 (2013): 119-125.
  5. World Health organization. Oral health surveys: basic methods - 5th edition (2013).
  6. Shulman JD and Cappelli DP. “Epidemiology of dental caries”. In Prevention in Clinical Oral Health Care. Mosby Inc (2008): 2-13.
  7. Slade GD, Spencer AJ. “Development and evaluation of the oral health impact profile”. Community Dental Health 11 (1994): 03-11.
  8. Hoben M., et al. “Barriers and facilitators in providing oral care to nursing home residents, from the perspective of care aides: A systematic review and meta-analysis”. International Journal of Nursing Studies 73 (2017): 34-51.
  9. Wong FMF., et al. “Oral Health and Its Associated Factors Among Older Institutionalized Residents-A Systematic Review”. International Journal of Environmental Research and Public Health 16 (2019): 4132.
  10. Rantzow V., et al. “Occurrence of oral health problems and planned measures in dependent older people in nursing care”. Journal of Clinical Nursing 27 (2018): 4381-4389. 
  11. Schmalz G., et al. “Oral Health-Related Quality of Life, Oral Conditions, and Risk of Malnutrition in Older German People in Need of Care-A Cross-Sectional Study”. Journal of Clinical Medicine 3 (2021): 426.
  12. Ástvaldsdóttir Á., et al. “Oral Health and Dental Care of Older persons-A Systematic Map of Systematic Reviews”. Gerodontology 35 (2018): 290-304.
  13. Sumi Y., et al. “Oral care help to maintain nutritional status in frail older people”. Archives of Gerontology and Geriatrics 51 (2010): 125-128.
  14. Mesas AE., et al. “Oral health status and nutritional deficit in noninstitutionalized olders adults in Londrina, Brazil”. Revista Brasileira de Epidemiologia 13 (2010): 434-445.
  15. Gil-Montoya JA., et al. “Association of the oral health impact profile with malnutrition risk in Spanish elders”. Archives of Gerontology and Geriatrics 57 (2013): 398-402.
  16. Van de Rijt LJM., et al. “Oral function and its association with nutrition and quality of life in nursing home residents with and without dementia: A cross-sectional study”. Gerodontology 4 (2021): 404-413.
  17. Banda KJ., et al. “Prevalence of Oropharyngeal Dysphagia and Risk of Pneumonia, Malnutrition, and Mortality in Adults Aged 60 Years and Older: A Meta-Analysis”. Gerontology 13 (2021): 1-13.
  18. Lv S and Ru S. “The prevalence of malnutrition and its effects on the all-cause mortality among patients with heart failure: A systematic review and meta-analysis”. PLoS One 10 (2021): e0259300.
  19. Hu T., et al. “Effect of comorbidities and medications on frequency of primary care visits among older patients”. Canadian Family Physician 1 (2017): 45-50.
  20. Rebholz H., et al. “Loss of Olfactory Function-Early Indicator for Covid-19, Other Viral Infections and Neurodegenerative Disorders”. Frontiers in Neurology 11 (2020): 569333.
  21. Aðalbjörnsson BV and Ramel A. “Food-drug interaction in older adults. In: Interdisciplinary Nutritional Management and Care for Older Adults an Evidence-Based Practical Guide for Nurses - Perspectives in Nursing Management and Care for Older Adults”. Ólöf G. Geirsdóttir (editor), Jack J. Bell (editor). 1st Edition (2021).

Citation

Citation: Sigurdardottir AS., et al. “Oral Care, Oral Health and Associated Nutrition Related Problems in Icelandic Nursing Home Residents". Acta Scientific Nutritional Health 6.3 (2022): 38-45.

Copyright

Copyright: © 2022 Sigurdardottir AS., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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